Chapter 11 Substance Related and Impulse Control Disorders Key 1 In the United States the annual death rate related to cigarette smoking and the use of alcohol and illegal drugs is estimated to be 2 Which of the following would NOT be an example of substance use A 25 000 B 50 000 C 250 000 D 500 000 A smoking a cigarette B drinking a cup of coffee C taking a sleeping pill D getting drunk 5 In terms of substance related disorders the word addiction is most closely associated with 3 The American Psychiatric Association defines substance abuse in terms of A how drunk or intoxicated a person gets after ingesting a psychoactive substance B whether or not the substance interferes with the person s life C the type and intensity of the substance abuser s biological reaction D which drug is used and whether it is legal or illegal 4 Substance intoxication includes all of the following EXCEPT A the specific drug that is used B how much of a drug is used or ingested C the drug user s individual biological reaction D physiological dependence on the drug A substance use B intoxication C substance dependence D polysubstance abuse 6 A person who is physiologically dependent on a drug will experience A tolerance to the effects of the drug B withdrawal symptoms if the drug is withdrawn C both tolerance and withdrawal D neither tolerance nor withdrawal 1 7 Carol has been addicted to narcotics for many years Recently she has been trying to quit and has not used any drugs for the last week We can expect that Carol will be experiencing 8 The condition called delirium tremens also known as the DTs involves hallucinations and body tremors during withdrawal from 9 A perspective of substance dependence that involves drug seeking behaviors includes all of the following EXCEPT A repeated use of the drug B a desperate need to ingest more of the drug C resuming drug use after a period of abstinence D physical symptoms when the drug is no longer used 10 The DSM IV TR definition of substance dependence includes both physiological and psychological aspects specifically 11 Experts in the field of substance abuse were asked about the relative addictiveness of various drugs At the top of the list as most addictive was A fever and chills B nausea vomiting and diarrhea C aches and pains D all of these A heroin B cocaine C alcohol D marijuana A tolerance and withdrawal B drug seeking behaviors C both of these D neither of these A crack cocaine B heroin C nicotine D methamphetamine A criminal behaviors B morally deficient behaviors C signs of mental illness D symptoms of psychosis 12 In early DSM editions alcoholism and drug abuse were classified as sociopathic personality disorders because they were considered to be 2 13 Alcoholism previously considered a is now conceptualized by many as a disease A sociopathic personality disturbance B schizophrenic like behavioral pattern C type of dependent personality disorder D hysterical conversion syndrome 14 Nicolai has been an alcoholic for many years He has also experienced major depression and manic episodes According to Compton et al 2003 about of alcoholics also have an additional psychiatric disorder A 25 B 50 C 75 D 99 A stimulants B opiates C depressants D narcotics A cocaine B codeine C heroin D morphine 15 Alcohol and the drugs Seconal Halcion and Valium are all classified as 16 All of the following analgesic substances are classified as opiates EXCEPT 17 Both morphine and codeine are analgesics which means that they A activate the central nervous system B relieve pain and produce euphoria C increase alertness D cause delusions and dissociative experiences 18 Which of the following is an example of alcohol s effects on brain functioning A faster reaction time B improved judgment C impaired motor coordination D clear speech 3 19 Alcohol can initially appear to cause stimulation because it A makes vision and hearing more acute B has an excitatory affect on the brain C has an inhibitory affect on the brain D alters motor coordination 20 Blackouts appear to be related to the interaction of alcohol with the system 21 Because of its impact on GABA receptors alcohol neuronal communication A glutamate B serotonin C GABA D dopamine A inhibits B facilitates C randomizes D eliminates 22 What explains the apparent stimulation feeling of well being and outgoing behavior that occur as the initial effects of alcohol ingestion A depression of the inhibitory centers in the brain B activation of the inhibitory centers in the brain C depression of the autonomic nervous system D stimulation of the autonomic nervous system 23 Although most psychoactive substances interact with specific substances in the brain cells the effects of are much more complex because several different neurotransmitter systems are affected 24 Which of the following does NOT describe the specific effect of alcohol on a particular A opiates B tranquilizers C alcohol D marijuana neurotransmitter system A serotonin alcoholic cravings B glutamate alcoholic blackouts C dopamine slurred speech D GABA anti anxiety effect 4 25 All of the following are symptoms of withdrawal from alcohol EXCEPT A nausea and or vomiting B hypersomnia C hallucinations D delirium tremens 26 In some individuals chronic alcohol use causes physical damage to the body Whether this occurs depends on all of the following factors EXCEPT A blood alcohol levels during drinking periods B type of alcohol consumed e g beer wine liquor C genetic vulnerability D how frequently drinking binges occur how long they last and how much time elapses between binges 27 Consequences of long term excessive drinking include 28 All of the following occur in persons who are alcohol dependent for even short periods of time EXCEPT A liver disease and or pancreatitis B cardiovascular disorders C brain damage D all of these A blackouts and or seizures B hallucinations C memory loss D dementia 29 The correct pairing of the names causes and symptoms of two types of organic brain syndromes that may result from chronic long term alcohol abuse are A dementia loss of intellectual abilities caused by a deficiency of the vitamin called thiamine B Wernicke s disease confusion loss of muscle coordination and unintelligible speech caused by a C dementia confusion loss of muscle coordination and unintelligible speech caused by the toxic deficiency of the vitamin called thiamine effects of alcohol on the brain D Wernicke s disease loss of intellectual abilities caused by the toxic